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Does the patient present to the Emergency Department? YES Is patient treated and discharged from the ED? YES Use CPT codes 99281-99285     NO NO Is patient admitted to inpatient status? YES Is this the initial visit for a clinic provider? YES Has another provider asked for your advice or opinion for his/her patient? YES Report consultation codes 99251-99255   NO NO NO Is patient admitted to observation status? Report CPT codes 99231 -99233 for subsequent visits   Report CPT codes 99221 -99223 for initial visit   YES Was the patient admitted and discharged on the same calendar date? NO Is this the initial visit for a clinic provider? YES Has another provider asked for your advice or opinion for his/her patient? YES Report consultation codes 99241-99245   YES NO NO Was the total time admitted greater than 8 hours? YES Report CPT codes 99234-99236 Is the visit for discharging the patient? Report CPT codes 99218-99220   NO YES Report CPT codes 99218-99220   Report CPT code 99217